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CHEYENNE RIVER DENTAL CLINIC
NPI 1851422596
Dentist - Dental Public Health in Eagle Butte, SD

Active since March 07, 2007
24276 166TH ST, EAGLE BUTTE, SD 57625(605) 964-0736(605) 964-7800 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cheyenne River Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEYENNE RIVER DENTAL CLINIC (NPI 1851422596) is a healthcare organization registered as a dental public health in Eagle Butte, South Dakota and active in the NPI registry since March 2007. The organization lists Tiffany L Larson, Crst Dental Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1851422596
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameCHEYENNE RIVER DENTAL CLINIC
Location Address24276 166TH STEagle Butte, SD 57625-8141
Mailing AddressPo Box 590Eagle Butte, SD 57625-0590 · (605) 964-0736 · Fax (605) 964-7800
Phone(605) 964-0736
Fax(605) 964-7800
Organization SubpartNo
Authorized OfficialTiffany L LarsonCrst Dental Administrative Manager · (605) 964-0736
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 5, 2022
NPPES CertifiedAugust 5, 2022
✔ NPI 1851422596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
24276 166TH ST, Eagle Butte, SD 57625
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Other Identifiers 1

Medicaid5540240SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAKIYAN PETA LAC
Counselor (Addiction (Substance Use Disorder))
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0722
SUZIE M CHHOUK PHARMD
Pharmacist
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-1520
MS. ANGEL LEE WILSON-CROWE ARNP
Nurse Practitioner (Family)
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0675
SUSAN SEITZ
Registered Nurse
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-7724
DR. LATILIA DEANNE MACK PHARM.D.
Pharmacist
24276 166TH ST, AIRPORT RD
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0650
CRST COMMUNITY HEALTH REPRESENTATIVES (CHR) PROGRAM
Non-emergency Medical Transport (VAN)
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0728
DR. MONTE LOREN KRANZ D.D.S.
Dentist
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0736
CHEYENNE RIVER SIOUX TRIBE FIELD HEALTH CLINIC
Clinic/Center (Primary Care)
24276 166TH ST
EAGLE BUTTE, SD 57625
Dewey County (605) 964-0785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheyenne River Dental Clinic's NPI number?

The NPI number for Cheyenne River Dental Clinic is 1851422596. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Cheyenne River Dental Clinic located?

Cheyenne River Dental Clinic is located at 24276 166th St, Eagle Butte, SD 57625. The listed phone number is (605) 964-0736.

What is Cheyenne River Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Cheyenne River Dental Clinic was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.